J Korean Acad Nurs.  2010 Oct;40(5):695-704. 10.4040/jkan.2010.40.5.695.

A Predictive Model on Health Promotion Behavior in Women who Immigrate for Marriage

• Jeong N
• Lee MH

• KMID: 1394860
• DOI: http://doi.org/10.4040/jkan.2010.40.5.695

Abstract

PURPOSE
This study was done to develop a model which explains factors influencing health promotion behavior in women who immigrate to Korea for marriage, and to verify the appropriateness of the model.
METHODS
The participants were 300 women who immigrate to Korea for marriage and settled in located in Jeonbuk Province, Korea. The data were collected with self-report questionnaires from October 10, 2007 through November 10, 2007. A total of 271 data sets were analyzed using the SPSS/WIN 12.0 and Amos 7.0 version.
RESULTS
Immigrant women's social support, self-efficacy, perceived health status, acculturation, and perceived barrier had an impact on their health promotion behavior. Social support was the most influential factor. All of these variables together explained 49% of the variance in health promotion behavior in immigrant women married to Korean men.
CONCLUSION
In order to increase the health promotion behavior in immigrant women, intervention strategies to increase social support and self-efficacy for immigrant women should be developed.

Keyword

Immigrants; Women; Health promotion

MeSH Terms

Acculturation
Adult
Emigrants and Immigrants/*psychology
Female
Health Behavior
*Health Promotion
Health Status
Humans
Marriage
Models, Psychological
Questionnaires
Self Efficacy
Social Support

Figure

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  Figure 1 Hypothetical model. x1=Perceived health status; x2-x5=Acculturation; Y1-Y3=Self-efficacy; Y4=Social support; Y5=Perceived barrier; Y6=Health promotion behavior.

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  Figure 2 Modified model with parameter estimates. x1=Perceived health status; x2-x5=Acculturation; Y1-Y3=Self-efficacy; Y4=Social support; Y5=Perceived barrier; Y6=Health promotion behavior.

Reference

1. Abbey A, Abramis DJ, Caplan RD. Effects of different sources of social support and social conflict on emotional well-being. Basic and Applied Social Psychology. 1985. 6:111–129.

2. Bae BR. Structural equation modeling with Amos 7. 2007. Seoul: Chung Ram Book Publisher.

3. Bandura A. Self-efficacy: The exercise of control. 1997. 9th ed.New York, NY: W.H. Freeman and Company.

4. Chen G, Gully SM, Eden D. Validation of a new general self-efficacy scale. Organizational Research Methods. 2001. 4:62–83.

5. Gu MO, Yu JS, Kweon IK, Kim HW, Lee EO. A review of research on self efficacy theory applied to health related behavior. The Journal of Nurses Academic Society. 1994. 24:278–302.

6. Han GS. Family life and cultural encounter of foreign wives in rural area. Korean Cultural Anthropology. 2006. 39:195–219.

7. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984. 11:1–47.

8. Kang NY. Study in acquisition of Korean communitive competence for married migrant. 2007. Seoul: Seoul National University;Unpublished master's thesis.

9. Kim AH, Oh HE, Kim JS. A study on the relationship between social support, health promoting behaviors and depression among unmarried pregnant women. Korean Journal of Women Health Nursing. 2007. 13:123–130.

10. Kim BR. The present situation of the international marriage immigration and the adaptation of inter-nationally married women immigrants in Korean society. 2007. Seoul: Sogang University;Unpublished master's thesis.

11. Kim JH. The reliability and validity test of psycho-social well-being index (PWI). Journal of Korean Academy of Nursing. 1999. 29:304–313.

12. Kim YL. Women-immigrants' lives and their social-cultural accommodation-related policy for the multi-cultural society. Journal of Asian Women. 2006. 45:143–189.

13. Marriage rate for Korean men and foreign women; Population movement study. Korea National Statistics Office. 2009. Retrieved January 20, 2010. from http://kosis.kr/nsportal.

14. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multi-level assesment instrument. Journal of Gerontology. 1982. 37:91–99.

15. Lee SJ, Kim SI, Lee PS, Kim SY, Park ES, Park YJ, et al. Construct a structural model for health promoting behavior of chronic illness. Journal of Korean Academy of Nursing. 2002. 32:62–76.

16. Lusk SL, Ronis D, Kerr MJ. Health-promoting lifestyles of blue-collar, skilled trade, and white-collar workers. Nursing Research. 1995. 44:20–23.

17. Ministry for Health Welfare and Family Affairs. Results of survey about living status of immigrant women married to Koreans and counterplan of MHWFA. 2005. Author.

18. Moon JS. A study on the development of measuring tool for health belief in adult. 1990. Seoul: Yonsei University;Unpublished doctoral dissertation.

19. Park YJ, Lee SJ, Park ES, Ryu HS, Lee JW, Chang SO. A meta-analysis of explanatory variables of health promotion behavior. Journal of Korean Academy of Nursing. 2000. 30:836–846.

20. Pender NJ. Health promotion in nursing practice. 1996. 3rd ed.Stamford CT: Appleton & Lange.

21. Schwarzer R, Leppin A. Social support and health: A theoretical and empirical overview. Journal of Social and Personal Relationships. 1991. 8:99–127.

22. Seol DH, Kim HS, Yoon HS, Lee HK, Yim KT, Chung KS, et al. Foreign wives's life in Korea: Focusing on the policy of welfare and health. 2005. Seoul: Ministry of Health and Welfare.

23. Shin YH, Jang HJ. Perceived exercise self-efficacy and exercise benefits/barriers of Korean adults with chronic diseases. Journal of Korean Academy of Nursing. 2000. 30:869–879.

24. Suinn RM, Khoo G, Ahuna C. The Suinn-lew Asian self-identity acculturation scale: Cross-cultural information. Journal of Multicultural Counseling and Development. 1995. 23:139–148.

25. Walker SN, Hill-Polerecky DM. Unpublished manuscript. Psychometric evaluation of the health-promoting lifestyle profile II. 1996. Retrieved January 20, 2010. University of Nebraska Medical Center;from http://www.unmc.edu/nursing/docs/.

26. Beijing platform for action: A review of WHO activities. World Health Organization. 1999. Retrieved January 20, 2010. Geneva: World Health Organization;from www.who.int/CHS/WMH/.

27. Gender and health in disasters. World Health Organization. 2002. Retrieved January 20, 2010. Geneva: World Health Organization;from http://www.who.int/gender/other_health/en/genderdisasters.

28. Working with individuals, families and communities to improve maternal and newborn health. World Health Organization. 2003. Retrieved January 20, 2010. Geneva: World Health Organization;from http://www.who.int/7FCH7RHR/.

29. Yoo EK, Kim MH, Kim TK. A study of the relationship among health promoting behaviors, climacteric symptoms and depression of middle-aged women. Journal of Korean Academy of Nursing. 1999. 29:225–237.

30. Yun SN, Kim SY, Lee JY. Factors affecting women's behaviors for health promotion by life span. Korean Journal of Health Promotion and Diseases Prevention. 2004. 4:207–215.